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Home My WebLink About2418 SACADA CIR; ; CB023218; Permit10-124-^602 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Electrical Permit Permit No Building Inspection Request Line (760) 602-2725 CB023218 Job Address Permit Type Parcel No Reference # Project Title 2418SACADACRCBAD ELEC 2161904800 Lot#154 TEMP POWER POLE FOR CONSTRUCT OF DUPLEX-PERMIT PENDING-CB013783 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/24/2002 RMA 10/24/2002 10/24/2002 Applicant KF STEPHENS INC 1500 WEST 11TH AVE, STE 24 ESCONDIDO, CA 92029 740-0885 Owner STEPHENS KEVIN~ -- 1500W 11THAVE#24 ESCONDIDO CA 92029 9627 10/24/02 0002 0] CGP 02 20,,00 Total Fees $2000/ Total Payments To Date $000 Electric Issue Fee ' """*,*'-, - - ' lf -> * „ \ Single Phase per AMP , s / 0 , / t t 0" * Three Phase per AMP , - _ 0 ' J Three Phase 480 Per AMP r" - " / \ - iO ' - * -~- * /' ,- Remodel/Alteration per AMP" ~ \^'~~- o "KL" -K-" 7" ' "* ^ Remodel Fee ' " *' < , ->--' x Temporary Service Fee sf / r,\ ' ^ />-t x Test Meter Fee | \^ __ * , * *"y * Other Electrical Fees - ^ _ /^ v - ''""'."J „-/ Additional Fees s M -r ' I ' f - '" Balance Due $20 00\ \ ' - ^$10001 l x ' '$0 00 • ~" - so oo • $000 / i ' $000 „ ': $0 oo , '• f$ioool ! , " lf $0 00 - / ' $000 . r ' $0 00 TOTAL PERMIT FEES CCORDANCEWITHU.B.C SECTION 106.4.4 DATE Inspector FINAL Af^PRfiVAL / Date ™Clearance NOTICE Please take NpTlCBthat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions/ You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures/set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By /f)Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description J_at No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Use ProposedUse Description of WorkCowSVKoccxoV Ov SQ FT #of Stones # of Bedrooms -^SvPT-'*8^<$£$ # of Bathrooms Name Address City !iU0£$^tVln^ State/Zip Telephone tt Fax # Address City State/Zip Telephone # Name Address City State/Zip Telephone # (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he rs exempt therefrom, and the basts for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) ^ \\TK fesCov*D\oo <^ qaeeft Tfeo -HOO&B5 Name State License # Address License Class City State/Zip Telephone # City Business License 8SE 5785050 Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued OS I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pjermit is issued My worker s compensation insurance carrier and policy number are \ ~"1 O CL/Vi / Insurance Company *•* " OUy f\ \(£f \JiOnK^»1|O Policy No Expiration Date /<*1 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) / Q CERTIFICATE OF EXEMPTION t certify that in the performance of the work for which this permit is issued, I shall not employ any person in any rtlanner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (§>QO .0QO), upfcddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE DATE B> - I hereby affirm that I am exempt from the Contractor's License Law for the following reason P) I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of -proving that he did not build or improve for the purpose of sale) Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law) • " ~ „Htt D I am exempt under Section _ Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) _ 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) _ __ __ _ PROPERTY OWNER SIGNATURE DATE ICOMPLETE'THIS^SECf \QN:F.QRN(JN-RESIDENT/ALlKWLD\tiQ PERMITSJONLVjIilit^^f £ j. f i >£ y ?^M^£J£.?L? ^', ' '3 •! i ^ '\' f' ''rtli', i f? L" ^< * Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES L~D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT , ^^CONSTRUCTION tENDING A<aENCVJ^ S^?4^r^fel^lM%\«fl^lw*t^>tH l*~$ sl!\4fC^rC I ^ Hb "i-V1" , M Vfl I ~SA% ,1" ,\ ' ""' !*' ,"^n<!!' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 fr.'APPLICANT CERTIFICATION 3Ll$^ -^/"A"^'CWw^lJ^n<^^'^3^L^-.tE,t'"* jClLb^r^TlT^ ^iVlJvUrl /1V;/<Tl-t '• I certify that 1 have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comMSnted'toK.a potted of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE ^ QSWW* ^ DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bidg Inspection Request For 07/18/2003 Permit* CB023218 Title TEMP POWER POLE FOR CONSTRUCT Description OF DUPLEX-PERMIT PENDING-CB013783 2418 SACADACR Lot 154 Type ELEC Sub Type Job Address Suite Location APPLICANT KF STEPHENS INC Owner Remarks Inspector Assignment Phone 7605196101 Inspector Total Time CD Description Act. Comment 32 Const. Service/Agricultural Requested By GLEN Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments .H. Gold Insurance Agency, Inc 599 Tierra Grande Diego,, CA 92726 Phone: 858-578-0020 ,«™ ,-- (MM/DO/YY) P'110/08/02 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AHO NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOTEXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER AIG Workers Compensation INSURED COMPANY r>LETTER D K.F. Stephens, Inc. 1500 W. 11th Avenue #24 Escondido CA, 92029 COMPANY LETTER COMPANY1 LETTER COMPANY LETTER cos THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDOION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NUMBER j POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DO/YY) ' DATE (MM/DO(YY)ALL LIMITS 1H THOUSANDS LIABILITY I i COMMERCIAL GENERAL UABIUTY j CLAIMS MAOEi I OCCUR * L— f I (GENERAL AGGREGATE PRODUCTS-COMP/OPS AGGREGATE PERSONAL 4 ADVERTISING INJURY OWNER S » CONTRACTOR S PROT . EACH OCCURRENCE AUTOMOBILE LIABILITY 1 ANY AUTO 1 ALL OWNED AUTOS I SCHEDULED AUTOS , HIRED AUTOS I NON-OWNED AUTOS 1 GARAGE LIABILITY J EXCESS LIABILITY i OTHER THAN UMBRELLA FORM WORKER S COMPENSATION AND EMPLOYERS' LIABILITY FIRE DAMAGE (Any one fire) j MEDICAL EXPENSE (Any ono person) $ , COMBINED j f LIMIT BODILY1 INJURY J (Per person) BODILY INJURY S (Pot accident) ' PROPERTY DAMAGE % EACH OCCURRENCE _JAGGREGATE STATUTORY 17986 10/08/02 10/08/03*1 QOO, 000-tEACHACClDENT1 Sl'fl00 000 <OtSEAse-pOLICYt(M'r> i S1000000 (°ISEASE~eACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/V6HICLES/SPEdAL ITEMS All operations. Caty of 8 loto at Calle De Cereno 505 S Vulcan Ericinitas, CA 92024 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES